Provider Demographics
NPI:1588936520
Name:MOORE, JANAAN SCHMUHL (AUD)
Entity type:Individual
Prefix:MRS
First Name:JANAAN
Middle Name:SCHMUHL
Last Name:MOORE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 S EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-6133
Mailing Address - Country:US
Mailing Address - Phone:708-482-9091
Mailing Address - Fax:
Practice Address - Street 1:180 N MICHIGAN AVE STE 1616
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7401
Practice Address - Country:US
Practice Address - Phone:312-229-4040
Practice Address - Fax:312-201-1202
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000348231H00000X
IN23001802A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist